Republic of the Philippines

Department of Education
Region VIII - Eastern Visayas
SCHOOLS DIVISION OF LEYTE

PERFORMANCE MONITORING AND COACHING FORM

CRITICAL INCIDENCE OUTPUT IMPACT ON JOB/ACTION NAME AND SIGNATURE OF

DATE DESCRIPTION (Evidence of Unmet PLAN RATEE/RATER
(Unmet Targets) Targets) (Implications and Agreements) (Responsibilities)
October 1, No home visitation Improved academic
2024 conducted. performance of Home visitation plays an
struggling learner. integral part in delivering
timely and accurate feedback to
the academic performance of JAY-ANN DELLERA
learners. Through home Teacher-II/ Ratee
visitations, we get to know more
about our learners. The teacher MELINDA C. DENOY
agrees to have home visit before Teacher-II/ Ratee
2nd quarter starts.
September Students were caught having Strengthened MARIA CHRISTINA B. SERENO
30, 2024 drinking sessions in broad relationships with Parents are the school’s partner
MT-II/ M e n t o r
daylight in Tabango parents/guardians in nurturing the minds of the
Tenements. and the wider school learners. To strengthen the
community. relationship with the parents,
they were called up regarding
the behavior of the learners.

Remarks/Results (Accomplishments):
 Republic of the Philippines
Department of Education
Region VIII - Eastern Visayas
SCHOOLS DIVISION OF LEYTE

PERFORMANCE MONITORING AND COACHING FORM

CRITICAL INCIDENCE OUTPUT IMPACT ON JOB/ACTION NAME AND SIGNATURE OF

DATE DESCRIPTION (Evidence of Unmet PLAN RATEE/RATER
(Unmet Targets) Targets) (Implications and Agreements) (Responsibilities)
September The teacher have problems on The teacher plays an important
19 , 2024 her teaching strategies that Improved learner role in the teaching-learning
promote learner achievement achievement in process. The teacher agrees to
in literacy and numeracy. literacy and improve teaching strategies that LEVIE D. LUBAT
numeracy. promote learner achievement in Mentee
literacy and numeracy.
JAY ANN DELLERA
September The teacher sought help in The assessment data reflects how
Improved teacher Mentee
16, 2024 analyzing and utilizing the well the students are learning. The
assessment data. performance in teacher agrees to improve in MARIA CHRISTINA B. SERENO
analyzing and analyzing and utilizing the MT-II/ M e n t o r
utilizing the assessment data.
assessment data.

Remarks/Results (Accomplishments):
 Republic of the Philippines
Department of Education
Region VIII - Eastern Visayas
SCHOOLS DIVISION OF LEYTE

CRITICAL INCIDENCE OUTPUT IMPACT ON JOB/ACTION NAME AND SIGNATURE OF

DATE DESCRIPTION (Evidence of Unmet PLAN RATEE/RATER
(Unmet Targets) Targets) (Implications and Agreements) (Responsibilities)
September The teacher needs some The teacher needs some
13 , 2024 professional reflections and Improved personal professional reflections and LEVIE D. LUBAT
promote learning growth and promote learning opportunities. Mentee
opportunities. professional
development. JAY ANN DELLERA
Mentee

MELINDA C. DENOY
Mentee

MARIA CHRISTINA B. SERENO

MT-II/ M e n t o r

Prepared and submitted by: Submitted to:

MARIA CHRISTINA B. SERENO MARIA MAIDA B. FLORES

MT-II/ M e n t o r Principal III
 Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL

PERFORMANCE MONITORING AND COACHING FORM

B ahan, Mabua, Tandag City, Surigao del Sur,

8300
(086) 211-3225
ISO Cert. No.

Date: DC No: F-OSDS--

 Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL

CRITICAL INCIDENCE OUTPUT IMPACT ON JOB/ACTION NAME AND SIGNATURE OF

DATE DESCRIPTION (Evidence of Unmet PLAN RATEE/RATER
(Unmet Targets) Targets) (Implications and Agreements) (Responsibilities)

Learners skip in
answering the LAS
Learners who had difficulty in
because for them,
the activities can answer
No contextualized teacher- the activities are
because activities are made
made learning materials yet difficult. If
easier. The teacher agrees to
activities are
have a contextualized learning
contextualized, it HENI JANE Q. COLENA
material for struggling learners.
January 31, would be easier Teacher-II/ Ratee
2022 for them.

Home visitation form should APRILYN JOY A. QUEZADA

be filled out with the details Updates the The teacher realizes the MT-I/ Rater
of the learners, the purpose parents/guardians importance of filling out the
of the visit and the on the academic home visitation form/ Parents’
agreement of the performance of Agreement Form with accurate
parent/guardian and the his/her child. information.
teacher.

B ahan, Mabua, Tandag City, Surigao del Sur,

8300
(086) 211-3225
ISO Cert. No.

Date: DC No: F-OSDS--

 Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL

CRITICAL INCIDENCE OUTPUT IMPACT ON JOB/ACTION NAME AND SIGNATURE OF

DATE DESCRIPTION (Evidence of Unmet PLAN RATEE/RATER
(Unmet Targets) Targets) (Implications and Agreements) (Responsibilities)
Lesson Plan for Classroom
Observation 1 needs
improvement. The teacher
needs to plan carefully the
Lesson plan is the
lesson in order to come up
blueprint in
with effective lesson delivery KAREN ROSE M. HISTORIA
teaching the
and attainment of Teacher-II/ Ratee
learners. Learning The teacher agrees to make her
objectives. Objectives must
starts from lesson lesson plan
April 26, align with the chosen
planning done by comprehensive/organized next
2022 activities. Reinforcement by
the teacher. time. She will read/ research/
the teacher should also be
Therefore, a study about the different types
given not purely
teacher should of lesson plan and effective
activities/games only.
carefully craft it strategies. APRILYN JOY A. QUEZADA
Please choose a strategy to
considering the MT-I/ Rater
become learning more
needs of diverse
exciting and more
learners.
meaningful. Assessment
also needs to correlate with
what is being taught.

B ahan, Mabua, Tandag City, Surigao del Sur,

8300
(086) 211-3225
ISO Cert. No.

Date: DC No: F-OSDS--

 Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL

B ahan, Mabua, Tandag City, Surigao del Sur,

8300
(086) 211-3225
ISO Cert. No.

Date: DC No: F-OSDS--

 Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL

B ahan, Mabua, Tandag City, Surigao del Sur,

8300
(086) 211-3225
ISO Cert. No.

Date: DC No: F-OSDS--